CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Regional Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $870
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 102.84x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Regional Medical Center is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 102.84x the Medicare baseline. Located in 709 W Main Street, Manchester, IA.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$870

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.46

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.46 (100%)
Cash / Self-Pay: $80 (946%)
Insurance Median: $870 (10284%)
Cash: $80 (946% of Medicare)
Ins. Median: $870 (10284% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.46 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 10284% of the Medicare baseline (a markup of 10184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medical Associates Health Plan - Tri $870 10284%

Consumer Guidance & Cost Commentary

For patients paying cash directly, the most important takeaway is that self-pay rates can often be significantly lower than insurance negotiated rates, making upfront payment the most cost-effective option for this service. The cash price for this blood test and basic metabolic panel is $80, which is notably lower than the $870 negotiated rate paid by Medical Associates Health Plan - Tri. Because insurance contracts often include administrative overhead and multi-layered pricing structures, the cash price can serve as a benchmark for patients with high deductibles or those seeking to minimize out-of-pocket expenses. We strongly recommend asking the hospital staff about "self-pay" or "prompt-pay" discounts before scheduling, as these programs may offer additional reductions for immediate payment.

This procedure is performed at Regional Medical Center in Manchester, Iowa, a Critical Access Hospital owned by the local government. While the cash rate of $80 is accessible to all patients, it is important to understand that commercial insurance rates frequently exceed these cash prices due to the administrative costs and contract dynamics involved in billing. In this specific case, the facility's negotiated rate of $870 is substantially higher than the cash amount, illustrating how in-network contracts can sometimes result in higher costs for insured patients compared to those paying directly. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network emergency care at in-network facilities, it does not automatically prevent higher costs for routine, shoppable services like this lab test when insurance is used.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 709 W Main Street, Manchester, IA 52057
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals